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- Michele
- Gregg
- 9881 Bridgeport Way SW
Lakewood
Washington
98499
United States - MMG Speech & Therapeutic Services, LLC
Lakewood
Washington
98499
United States
The first step in the therapy process is that I conduct a detailed evaluation, that includes speech, language and an oral mechanism exam is always necessary to determine the child’s strengths and areas of concern. I also analyze what sound shapes and syllables the child can produce, so we have a baseline to begin treatment.
The overall treatment approach that I use is a highly multi-sensory approach (visual, auditory, tactile), with repeated trials . Each client has their own specific needs. Therefore, I do alter my prompts and cues to fit each client. I utilize materials and strategies from Kaufman and the PROMPT method. Auditory bombardment paired with visual phonemic cues is highly successful with my clients. I also focus on rate, rhythm and melody for great overall intelligibility of speech. Additionally, building trust and rapport is also an important piece of my therapy. Having “buy in” from the child and the parent/caregiver is important for therapy to be successful. Family involvement and teaching is an important component of my therapy. I teach the clients simple activities or exercises based on what we are focusing on in therapy that session.
I always keep functional communication at the core of my therapy. I utilize what the client can do and build upon that. Successive approximations that lead to longer and more complex word structures have always been successful with my practice. I encourage parents to allow their child to use approximations, to achieve longer utterances and build upon their child’s current abilities.
My approach is always client centered. If the child can, we do structured skill-based tasks, we do! If not, we follow a play-based model. My treatment strategy is always tailored towards their specific needs. I work in clinic that has many resources. We have many SLP’s and OT’s that can bounce ideas off of. We also have a lot of equipment and materials to keep therapy motivating.
Our practice in general greatly values parent/caregiver involvement. I have created simplistic handouts based on information from reputable sources to provide to parents. CAS can be difficult at first for parents/caregivers to understand. I take an educational approach to ensure they have basic understanding of what CAS is and what treatment approaches I am using. In my clinical experience, I have found that parents/caregivers are the best resource when creating lists of functional or daily practice words. They can provide insight into what is most important to their child. Together, we will often create word lists to practice at home. Additionally, homework that focuses on skills we are working on in therapy is typically provided. For our younger children (2 and under) we have parents actively involved in each session, via observing and providing homework activities. For clients who are older, we ask that parents are close by so we can discuss progress and plan if care prior to our after sessions. With our older children who can understand of the speech therapy process, we typically ask them to explain what we worked on in therapy and make their goals evident to them. Due to the fact that we only serve the child two or three times a week for 30-minute sessions, parents understanding of what we are working on is invaluable. I describe that practice should be frequent and daily if applicable. This is where the parent becomes extremely important in the therapeutic process. I have also previously attended a parent / clinician Kaufman workshop with a client, which was wonderful!
I believe that all children who struggle to communicate should have access to low and/or high-tech AAC to assist with bridging the gap between what they want to say and their ability to express it. I use a Total Communication approach during my sessions. Although we do work on verbal speech and patterning consonant-vowel shapes, AAC can be extremely helpful with the communication process. A benefit of a voice output device is that it states the word. To which then the child will often repeat, which facilities increased practice. It can also decrease frustration and assist with building their language skills. We work closely with our local AAC representatives and provide information and evaluation for the clients, if they choose to obtain a high-tech device for their child.